Action - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

You have been chosen to offer feedback for the manager mentioned earlier. Your input plays a crucial role in 's leadership development journey. This tool aims to collect comprehensive feedback on core competencies and responsibilities that are vital for our organization's continued success. Your feedback will be combined with others to ensure your anonymity.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Action	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Seeks new opportunities for advancement.
Makes decisions confidently and stands by them.
Works quickly when faced with difficult problems.
Completes tasks on time in spite of delays in the process.
Creates performance measures to ensure action by the department.
Pursues goals with action to achieve success.
Takes the initiative to address problems sooner rather than later.
Is decisive when making decisions.
Works across organizational lines and boundaries to attain goals.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Seeks feedback to enhance performance.
Looks to others for input.
Asks others for their ideas and opinions.
Considers other's opinion and suggestions.
Open to the suggestions of others.
Shares past experiences with others as learning opportunities.
Accepts the views of others.
Actively seeks feedback from others.
Is easy to approach with ideas and opinions.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Helps guide employees with prioritizing tasks.
Excellent at managing time.
Makes sure that employees understand and identify with the team's mission.
Makes sure that employees understand how their work relates to organizational goals.
Maintains focus when handling several problems or tasks simultaneously.
Sets appropriate goals for employees.
Aligns the department's goals with the goals of the organization.
Stays focused even when under pressure and stress.
Maintains self-control when personally criticized.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Accurately implements contract provisions.
Strong organizational skills to keep the workspace and department in order
Able to develop, justify and present a budget.
Has strong technical/computer skills.
Enthusiastic about taking on challenging projects.
Implements and uses performance measures.
High attention to detail.
Takes responsibility for decisions.
Completes reports on-time.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Juggling Multiple Responsibilities	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Completes multiple tasks simultaneously.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Organizes tasks for the most efficient order of completion.
Assesses current capabilities before committing to new requests from customers.
Keeps track of multiple assignments and deadlines.
Can multitask while performing all of their other responsibilities and activities.
Is aware of the deadlines for specific tasks/assignments.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Safety	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Supports our company's safety programs.
Creates accurate and effective measures of safety.
Identifies and addresses safety needs.
Is not afraid to question a potential safety issue observed in the workplace.
Participates in safety training as applicable.
Develops a culture of safety.
Works to implement corrective safety measures.
Encourages others to work safely.
Ensures that all supervisors are aware of regulatory and compliance measures.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Values the diverse perspectives and skills each team member brings to the table, recognizing that collaborative efforts often lead to more innovative and effective solutions.
Promotes a culture of collaboration rather than rivalry.
Works to get buy-in of individuals based on common good of business.
Willing to work with others to solve problems.
Guides team members to reconcile their differences and collaborate effectively.
Collaborates in group decision making.
Works cooperatively with others to solve problems.
Integrates technology to boost collaborative work on process and policy documentation.
Collaborates in time, effort, and expertise to help achieve success.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is adept at recognizing new opportunities and fostering a culture of innovation ensuring the organization stays ahead of industry trends and continues to evolve.
Engages in strategic alliances with valued partners.
Accurately perceives potential risks to the business.
Able to get department employees to accept new business workflows.
Interprets data to make informed business decisions.
Thoroughly understands the business needs of the customer.
Describes and summarizes data.
Identifies new business opportunities.
Responds quickly to customer business inquiries.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

73. Strengths
    
    
    
74. Areas for Development
    
    
    
75. Please give any final comments or suggestions for [Participant Name Here]'s assessment.